• Title/Summary/Keyword: Management Criteria

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Can Reproductive Characteristics Predict Bladder Cancer in Women with Haematuria?

  • Yavuzcan, Ali;Caglar, Mete;Kayikci, Muhammet Ali;Basaran, Ekrem;Tekin, Ali;Ozdemir, Enver;Dilbaz, Serdar;Ustun, Yusuf;Cam, Haydar Kamil
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.9
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    • pp.5107-5110
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    • 2013
  • Background: Among women with haematuria, defining individuals under high risk for bladder cancer based on reproductive factors prior to cystoscopy would be of great benefit in the management of this condition. The aim of this study was to compare age and reproductive factors such as menopausal status, parity, age at first delivery and age at the last delivery between women who have haematuria with or without bladder cancer. Materials and Methods: A total of 463 patients underwent diagnostic cystoscopy in D$\ddot{u}$zce University Faculty of Medicine between 1 June 2008 and 1 June 2013. Female patients who presented with persistent microscopic or macroscopic haematuria and underwent standard evaluation for haematuria including urinalysis, urine culture, urine cytology, urinary tract imaging with excretory urography or computerized tomography with contrast enhancement and endoscopic evaluation of the urethra and bladder were included in this study. Exclusion criteria were tobacco use and high risk occupations for bladder cancer such as textile, dry cleaning, painting and etc. Forteen women had hematuria due to benign conditions, and 18 due to bladder cancer. Data were retrospectively retrieved from the medical records of Duzce University Hospital. Results: Patients with haematuria due to benign reasons did not significantly differ from patients who were found to have bladder cancer in terms of age (p=0.28), menopausal status (p=0.29), mean parity (p=0.38), being nulliparous (p=0.57), parity ${\geq}3$ (p=0.22), age ${\leq}18$ years at first delivery (p=1.00), age ${\geq}30$ years at last delivery (p=0.26), age ${\geq}35$ years at last delivery (p=0.23) and percentage of the patients with advanced age (${\geq}65$ years) (p=0.18). Conclusions: It is difficult to predict a high risk for developing bladder cancer in women with haematuria based solely on reproductive factors.

A Study on Information Literacy Evaluation Standard for Cyber Teacher (사이버 가정교사의 정보 활용능력 평가기준에 관한 연구)

  • Kim, Chul;Kim, Jeong-Rang;Park, Sun-Ju;Ma, Dai-Sung;Cheong, Eun-Ah
    • Journal of The Korean Association of Information Education
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    • v.13 no.3
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    • pp.383-391
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    • 2009
  • The goal of cyber teaching is to reduce the cost of private lessons, dissipate the educational disparity amongst regions, make classes apt to the given level of every group of students, make up for systematic defects of the public education, and ultimately strengthen its role. This study intends to analyze the capabilities of cyber teachers and clarify their qualifications, as the whole new e-Learning system is about to take root. In this study, the activities of cyber teachers are analyzed and some standards of applicability of cyber teachers, or the so-called ISSCT, are presented. Firstly, the activities are divided into teaching, counselling, process management, development of professionality. Based upon these four activities, nine tasks have been formed and the structure of 22 sub-tasks has been completed. This is the way the standards of applicability of cyber teachers are established in consideration with their activities. Secondly, the standards of information capability of cyber teachers have 53 elements in total, and the aforementioned ISSCT are presented in relation to the ISST, based upon the standards of information capability of cyber teachers.

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Study on Selection Attributes of Fishing Experience Villages for the Revitalization of Eco Experience Tourism (생태체험관광 활성화를 위한 어촌체험마을의 선택속성 연구 - 전문가 및 선감어촌체험마을 체험객을 대상으로 -)

  • Kim, Dong-Chan;Choi, Woo-Young
    • Journal of the Korean Institute of Landscape Architecture
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    • v.41 no.6
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    • pp.29-42
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    • 2013
  • The purpose of this study was to derive selection attribute of fishing experience villages, and to analyze the importance and performance on targeting experts and experienced tourists. Consequently, it could suggest implications for the guideline and the evaluation criteria of making fishing experience villages for the revitalization of eco experience tourism. Therefore, in this study, literature investigation and IPA analysis were used by Microsoft Office Excel 2010, SPSS 20.0. As a result, the 'variety of local foods and specialties' was the most urgent attribute to require intensive management strategy. And it is recommended to improvement about 'attributes related residents' because it were insensitived on the recognition by users. Satisfaction of 'appropriateness of coast' was the lowest, but the efficiency was quite high. Finally, not only 'the area of control' but also 'the area of influence' should be reviewed as an important aspects on developing the fishing experience village. The significance of this study is to derive selection attributes of making fishing experience villages for revitalization of eco experience tourism, and to suggest strategy directions based on IPA analysis result by experts and experienced tourists. But in this study, the site was limited to Gyeonggi-do, so it is recommended to expand further.

Development and Application of Robust Decision Making Technique Considering Uncertainty of Climatic Change Scenarios (기후변화 시나리오의 불확실성을 고려하기위한 로버스트 의사결정 기법의 개발 및 적용)

  • Jun, Sang-Mook;Chung, Eun-Sung;Lee, Sang-Ho;Kim, Yeonjoo
    • Journal of Korea Water Resources Association
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    • v.46 no.9
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    • pp.897-907
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    • 2013
  • Climate change is expected to worsen the depletion of streamflow in urban watershed. In this study, we therefore considered the treated wastewater (TWW) use as an adaptation strategy and devised a framework to identify prioritized areas for TWW use. An integrated framework that includes hydrological factors as well as social and environmental components were employed to determine the criteria for decision making. Fuzzy theory was employed to consider the uncertainties in the climate change scenarios and the weights of the performance value. All alternatives were evaluated using the fuzzy TOPSIS method. In addition, statistical method and decision making methods under complete uncertainty were used for robust decision making. As a result, ranking the alternatives using the fuzzy TOPSIS method and robust approach such as maximin, maximax, Hurwicz and equal likelihood criterion mitigated the level of uncertainty and ambiguity in each alternative. The finding of this study can be helpful in prioritizing water resource management projects considering various climate change scenarios.

A Study on the Optimal Management Option of the Disposal of Resources Found in Standard Plastic Garbage Bags (종량제봉투 내 폐자원에 대한 최적 처리방안 연구)

  • Park, Sang Jun;Kim, Eui Yong
    • Resources Recycling
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    • v.23 no.5
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    • pp.44-54
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    • 2014
  • A standard plastic garbage bag which was discarded from Incheon Metropolitan City was composed of 4.5% recyclable resources (aluminum cans 0.2%, steel cans 2.5%, glass 1.8%), 92.5% resources with recoverable energy (papers 23.0%, plastics 15.5%, combustible etc. 54.0%) and 3.0% non-combustible etc. Recycling is more effective than landfilling for aluminum cans, steel cans, and glass. The energy recovery process using solid refuse fuel (SRF) is more effective than incineration for papers and plastics. Incineration is more effective than recycling for combustible etc. 2,068,948 Million Btu of total energy savings and 21,008 $MTCO_2E$ of total GHG reductions were obtained by the application of the proposed scheme. The total energy savings were equivalent to an economic benefit of 422 billion won per year. The total GHG reductions were equivalent to a GHG benefit of 4,119 passenger cars not running per year. The lower calorific value of the combustible materials was obtained to be 1,936 kcal/kg of papers, 5,079 kcal/kg of plastics and 2,462 kcal/kg of combustible other resources, respectively. If papers and plastics are properly mixed, the mixture can be used as SRF. The lower calorific value of combustible other resources does not meet the quality criteria for refuse derived fuel, therefore its components are inappropriate to used as solid refuse fuel.

Pressure Ulcer Risk Factors and Preventive Intervention in Long-Term Care Facilities : A Mixed method study (노인요양기관의 욕창발생 위험요인과 욕창예방 관리: 혼합연구)

  • Yun, Haesun;Park, Jeeyeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.3
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    • pp.147-155
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    • 2020
  • The purpose of this study was to compare the risk factors of pressure sores and preventive intervention strategies and to provide basic data for the management of pressure sores prevention for long-term care facilities. It was a mixed method study using a systematic literature review and focus group interviews for analysis. A PRISMA flow diagram was prepared in accordance with the research selection process for the systemic literature review. The studies were retrieved from domestic and international studies from 2010 to June, 2019. A total of 8 studies were selected according to the selection criteria. The studies were searched electronically using a search engine with the key words of 'pressure ulcers', 'bedsore', 'decubitus ulcers', 'intervention', 'prevention', 'elderly', and 'long term'. Focus group interviews were conducted through a semi-structured questionnaire for nurses who had worked for more than three years in long-care facilities. The study results suggest that position change and pressure reduction device reduced the incidence of pressure sores and were important for prevention. The use of standardized care protocols is necessary. Multidisciplinary cooperation was an important issue.

The Influence of the Influential Factors on the Invigoration of the Traditional Market Places in Seoul through Urban Regeneration upon the Awareness on Invigoration: the Mediating Effect of Expectation (도시재생을 통한 서울지역 전통시장 활성화 영향 요인이 활성화 인식에 미치는 영향: 기대감의 매개효과)

  • CHOI, Jae-Hyun;LEE, Myeong-Hun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.4
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    • pp.248-258
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    • 2020
  • In this study, an empirical analysis was performed with regards to traditional markets in Seoul, South Korea to find which physical maintenance elements, such as facility improvement for successful urban restoration, have greater effects on the expectation and activation awareness of successful urban restoration. This study targeted traditional markets located at the center of Seoul, which are visited by many domestic and international tourists as well as general consumers and are revitalizing the downtown area. A survey was conducted to collect a total of 515 completed questionnaires. Data analysis was performed using SPSS 23.0 and AMOS 22.0. The results of the analyses in this study indicate relevant urban invigoration factors (psychological, physical, diversity, functional, and stability factors), and it was observed that the expectation of urban regeneration was under the direct influence of the invigoration factors. Such a finding is meaningful in that it suggests a set of criteria to evaluate the concept of traditional markets in a comprehensive manner for successful urban regeneration while highlighting relevant invigoration factors for traditional marketplaces for the purpose of urban regeneration.

A Classification Method of Delirium Patients Using Local Covering-Based Rule Acquisition Approach with Rough Lower Approximation (러프 하한 근사를 갖는 로컬 커버링 기반 규칙 획득 기법을 이용한 섬망 환자의 분류 방법)

  • Son, Chang Sik;Kang, Won Seok;Lee, Jong Ha;Moon, Kyoung Ja
    • KIPS Transactions on Software and Data Engineering
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    • v.9 no.4
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    • pp.137-144
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    • 2020
  • Delirium is among the most common mental disorders encountered in patients with a temporary cognitive impairment such as consciousness disorder, attention disorder, and poor speech, particularly among those who are older. Delirium is distressing for patients and families, can interfere with the management of symptoms such as pain, and is associated with increased elderly mortality. The purpose of this paper is to generate useful clinical knowledge that can be used to distinguish the outcomes of patients with delirium in long-term care facilities. For this purpose, we extracted the clinical classification knowledge associated with delirium using a local covering rule acquisition approach with the rough lower approximation region. The clinical applicability of the proposed method was verified using data collected from a prospective cohort study. From the results of this study, we found six useful clinical pieces of evidence that the duration of delirium could more than 12 days. Also, we confirmed eight factors such as BMI, Charlson Comorbidity Index, hospitalization path, nutrition deficiency, infection, sleep disturbance, bed scores, and diaper use are important in distinguishing the outcomes of delirium patients. The classification performance of the proposed method was verified by comparison with three benchmarking models, ANN, SVM with RBF kernel, and Random Forest, using a statistical five-fold cross-validation method. The proposed method showed an improved average performance of 0.6% and 2.7% in both accuracy and AUC criteria when compared with the SVM model with the highest classification performance of the three models respectively.

Design and Development of an EHR Platform Based on Medical Informatics Standards (의료정보 표준에 기반한 EHR 플랫폼의 설계 및 개발)

  • Kim, Hwa-Sun;Cho, Hune;Lee, In-Keun
    • Journal of the Korean Institute of Intelligent Systems
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    • v.21 no.4
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    • pp.456-462
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    • 2011
  • As the ARRA enacted recently in the United States, the interest in EHR systems have been increased in the field of medical industry. The passage of the ARRA presents a program that provides incentives to office-based physicians and hospitals adapting the EHR systems to guarantee interoperability with various medical standards. Thanks to the incentive program, a great number of EHR systems have been developed and lots of office-based physicians and hospitals have adapted the EHR systems certified by CCHIT. Keeping pace with the rapid changes in the market of healthcare, some enterprises try to push in to the United States healthcare market based on the experience acquired by developing EHR systems for hospitals in Korea. However, the developed system must be customized because of the different medical environment between Korea and the United States. In this paper, therefore, we design and develop an integrated EHR platform to guarantee the interoperability between different medical information systems based on medical standard technologies. In the developed platform, an integrated system has been composed by integrating various basic techniques such as data transmission standards and its methods, medical standard terminologies and its usage, and knowledge management for medical decision-making support. Moreover, medical data can be processed electronically by adapting an HL7 interface engine and the terminologies for exchanging medical information and the standardization of medical information. We develop SeniCare, an EHR system for supporting ambulatory care of the office-based physicians, based on the platform, and we verify the usability of the platform by confirming whether SeniCare satisfies the criteria of "meaningful use" issued by CMS or not.

Bioequivalence of Azela Tablet to Azeptin Tablet (Azelastine Hydrochloride 1 mg) (아젭틴 정(염산아젤라스틴 1 mg)에 대한 아젤라 정의 생물학적 동등성)

  • Cho, Hea-Young;Yun, Ji-Hun;Seo, Yu-Lee;Oh, In-Joon;Lee, Sung-Kwan;Moon, Jai-Dong;Lee, Yong-Bok
    • Journal of Pharmaceutical Investigation
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    • v.31 no.1
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    • pp.57-62
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    • 2001
  • Azelastine, a phthalazinone derivative, is an antiallergic agent which demonstrates histamine $H_1-receptor$ antagonist activity and also inhibits histamine release from mast cells following antigen and non-antigen stimuli. Thus, azelastine may be useful in the management of both asthma and allergic disorders. The purpose of the present study was to evaluate the bioequivalence of two azelastine hydrochloride tablets, $Azeptin^{TM}$ (Bu Kwang Pharmaceutical Co., Ltd.) and $Azela^{TM}$ (Kyung Dong Pharmaceutical Co., Ltd.), according to the guidelines of Korea Food and Drug Administration (KFDA). Eighteen normal male volunteers, $22.44{\pm}2.01$ years in age and $61.99{\pm}6.18\;kg$ in body weight, were divided into two groups and a randomized $2{\times}2$ cross-over study was employed. After two tablets containing 1 mg of azelastine hydrochloride per tablet were orally administered, blood was taken at predetermined time intervals and the concentrations of azelastine in serum were determined using HPLC with fluorescence detector. Pharmacokinetic parameters such as $AUC_t$, $C_{max}\;and\;T_{max}$ were calculated and ANOVA test was utilized for the statistical analysis of the parameters. The results showed that the differences in $AUC_t$, $C_{max}\;and\;T_{max}$ between two tablets were -6.45%, -2.60% and -7.14%, respectively, when calculated against the $Azeptin^{TM}$ tablet. The powers $(1-{\beta})$ for $AUC_t\;and\;C_{max}$ were 96.65% and 88.47%, respectively. Minimum detectable differences $({\Delta})$ at ${\alpha}=0.05$ and $1-{\beta}=0.8$ were less than 20% (e.g., 14.40% and 17.65% for $AUC_t\;and\;C_{max}$, respectively). The 90% confidence intervals were within ${\pm}20%$ (e.g., $-14.87{\sim}1.97$ and $-12.92{\sim}7.72$ for $AUC_t\;and\;C_{max}$, respectively). Two parameters met the criteria of KFDA for bioequivalence, indicating that $Azela^{TM]$ tablet is bioequivalent to $Azeptin^{TM}$ tablet.

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